223957 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367555 Page 1 of 1
ONE CIVIC SQUARE KIMBERLY HANNON
CARMEL, INDIANA 46032 12520 HORESHAM ST CHECK AMOUNT: $160.00
CARMEL IN 46032
CHECK NUMBER: 223957
CHECK DATE: 9110/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 160 . 00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1141496
Carmel o I Payment Date: 08/29/13
'� `� �Tj� Household #: 6234
F arks&Recreation SEA 0 �
Monon Community Center mberly Hannon Hm Ph: (317)571-9224
Carmel IN 46032 520 Horesham St. Wk Ph: (317)457-3132
Carmel IN 46032 Cell Ph:
M.Hannon@rocketmaii.com
Phone: (317)848-7275
Fed Tax ID #35-6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 160.00- 160.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 160.00
Processed on 08/29/13 @ 12:45:04 by BJJ NEW REFUND AMOUNT(-) 160.00
TOTAL REFUNDABLE AMOUNT 160.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 160.00 Made By==>REFUND FINAN With Reference==> 1081-10-4358400
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
Aut on ignature Date Authorized Signature Date
Escape Day Passes are non-refundable.
QD
00 ("
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i
Page# 1 of 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
Hannon, Kimberly
Date Due
12520 Horesham St.
Carmel, IN 46032
Invoice Invoice Description
Amount
Date Number (or note attached invoice(s) or bill(s))
$ 160.00
8/29/13 1141496 Refund
F
Total $ 160.00
ce(s), or bill(s)is(are)true and correct and I have audited same in accordance
I hereby certify that the attached invoi
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
Hannon, Kimberly Allowed 20
12520 Horesham St.
Carmel, IN 46032
In Sum of$
$ 160.00 _
ON ACCOUNT OF APPROPRIATION FOR
i
108 - ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1081-1 1141496 4358400 $ 160.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
5-Sep 2013
�w V
Signature
$ 160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund